Try it
Dentistry · Oral pathology: nasopalatine duct cyst
Sample itemA 40-year-old has an asymptomatic heart-shaped radiolucency in the anterior midline of the maxilla between the roots of vital central incisors. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Nasopalatine duct cyst
A midline radiolucency at the incisive canal with vital adjacent teeth indicates a nasopalatine duct cyst, the commonest non-odontogenic cyst of the jaws. Vitality testing excludes a radicular cyst.
Option by option
A. Nasopalatine duct cyst (correct)
Correct. Incisive canal location and vital teeth point to this cyst.
B. Radicular cyst
A radicular cyst arises from a non-vital tooth.
C. Globulomaxillary cyst
A globulomaxillary lesion lies between the lateral incisor and canine.
D. Dentigerous cyst
A dentigerous cyst surrounds the crown of an unerupted tooth.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Dentistry questions
- Tooth development: Hertwig's root sheathDuring tooth development, which structure induces odontoblast differentiation in the roo…
- Tooth eruption: first permanent toothA 6-year-old child has a new tooth behind the last deciduous molar, with no deciduous to…
- Tooth development: neonatal lineGround sections of deciduous teeth show an accentuated incremental line in enamel and de…
- Tooth development: cell rests of MalassezEpithelial cell rests of Malassez persist in the periodontal ligament. Which cyst most o…